Information Collection

Common Data Elements (CDE) Project Request Form (NINDS)

IC 242507 under ICR 202109-0925-004 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Common Data Elements (CDE) Project Request Form (NINDS)	Form and Instruction
Form 1 Common Data Elements (CDE) Project Request Form (NINDS)	Form and Instruction
1 NINDS CDE Project form NINDS CDE Project Request Form.docx	Form and Instruction
1 NINDS CDE Project form NINDS CDE Project Request Form.docx	Form and Instruction
NINDS CDE project request form 2020_final.docx NINDS CDE Request form sub study	IC Document
NINDS CDE project request form 2020_final.docx NINDS CDE Request form sub study	IC Document

IC Title:

Common Data Elements (CDE) Project Request Form (NINDS)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NINDS CDE Project form	NINDS CDE Project Request Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NINDS CDE Request form sub study	NINDS CDE project request form 2020_final.docx	06/29/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.